First, the preparation before inspection
1. Patients should fast 6 hours before endoscopic ultrasonography and take dry towels with them.
2. If the patient has diabetes, hypertension, heart disease, thrombocytopenia, pregnancy or taking anticoagulant drugs and other diseases, be sure to inform the medical staff and follow their instructions. Patients should also voluntarily provide information about the drugs they are taking and any allergic reactions.
3. Outpatients should not drive themselves, and should also avoid drinking alcohol and taking different amounts of sedatives before examination. Elderly patients with mobility difficulties should be accompanied by their families for examination.
4. Patients with hypertension can take antihypertensive drugs orally as usual on the day of examination, and perform ultrasonic endoscopy after blood pressure is stable.
5. The patient must carry the recent endoscopy report for the surgeon's reference.
6. Patients undergoing endoscopic ultrasonography should be examined in an orderly manner according to the appointment number to avoid noise. Red card holders, emergency patients, elderly people over 70 years old, ward patients and hospital staff should give priority to inspection.
Second, the inspection process
1, anesthetic defoamer should be taken orally before ultrasonic gastroscopy, and anesthetic can last for 2 hours in general, so as to reduce gastric secretions, make the gastric image clearer and make the ultrasonic gastroscope pass through the pharynx smoothly. Patients with allergic history should report to the doctor.
2, check, the patient should be in the left lateral position, try to relax. Loosen tight clothes, ties and belts, take off accompanying glasses and dentures, and let patients receive ultrasonic gastroscopy in a comfortable environment.
3. When doing an ultrasonic gastroscope, follow the doctor's advice and swallow easily. After the ultrasonic gastroscope enters the stomach through the oropharynx, abdominal breathing should be performed calmly, and don't hold your breath. In this way, the inspection can be completed in about 30 minutes.
Those who need special treatment because of their complicated condition need longer time. In some cases, doctors will give sedatives according to the needs of patients and the condition of patients.
Three. Precautions after inspection:
After the examination, the patient should wait for the anesthetic or sedative to decrease before eating. If the patient receives sedation injection, it is forbidden to operate heavy machinery or drive all day to avoid accidents. Patients should take the initiative to get the examination report and ask about the date of follow-up.
If you have any questions about the test results and medication, please consult the medical staff in the endoscopy center during working hours. In case of serious accidents, such as gastrointestinal bleeding and severe abdominal pain, you should go to our hospital or the nearest emergency room for treatment.
Fourth, possible complications:
During the examination, patients often feel nausea and epigastric discomfort. Laryngeal anesthesia can also cause dysphagia for more than an hour. More serious complications include intestinal perforation, bleeding, cardiac arrest, lung infection and so on. The incidence of various complications varies with patients' different conditions, examination and treatment methods.
Patients should take the initiative to know the situation from the attending doctor. If there are serious complications, the patient may need surgical repair. Patients with serious diseases such as heart, lung, brain and kidney may die if complications occur.